Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tanner Mitchell Nielsen, PSYD

Individual provider Clinical Psychologist · NPI 1346574464

Dr. Tanner Mitchell Nielsen, PSYD is a Clinical Psychologist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2105 Coronado St
Idaho Falls, ID 83404-7495
Phone: (208) 534-7881
Fax: (208) 203-7067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-203073 (ID)

Record details

NPI number1346574464
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 22, 2009
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address2105 Coronado St, Idaho Falls, ID 83404-7495

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